Colostomy appliance



March so; 1948. A. E. THOMAS 2,438,769

COLOSTOMY APPLIANCE Filed Dec. 26, 1945 3nneritor (Ittorneg PatentedMar. 30, 1948 UNITED STATES PATENT OFFICE COLOSTOMY APPLIANCEApplication December 26, 1945, Serial No. 637,143 Claims. (01. 12s2s3)The invention relates to surgical appliances, particularly adapted foruse by persons who have had a colostomy operation which prevents thenatural use of the colon for evacuation purposes.

An object of the invention is to provide a colostomy appliance which maybe easily and quickly applied to a belt carried plate surrounding thecolostomy opening in the side of the abdomen, and provided with a closesight opening in its upper end so the operator or user can see directlydown into the device when the catheter is being inserted through theflush tube opening in the forward side of the device, and

in alinement with the colostomy opening.

A further object is to provide a hinged cover on the upper end of thedevice, hinged to swing sidewise to open position at a right angle tothe flush tube opening in the front side of the device so the usersvision of the flush tube opening will not be obscured by the hingedclosure.

A further object is to provide the inner side of the body of the devicewith a flanged member, the flange of which member is received in asemi-circular shaped channel carried by the abdomen engaging plate andmeans for holding said flanged member against displacement on the plate,but at the same time allowing the body of the device to be positioned soas to pass comfortably downwardly between the legs of the user when on acommode.

A further object is to so position the axes of the upper and lower endof the body in parallel relation and to connect these ends by a diagonalportion, angular to both ends, so that when in use, the device willextend inwardly and downwardly for discharge purposes into a commode orthe like.

A further object is to provide the lower end of the body with adeflecting ledge which will deflect the material being dischargeddownwardly and forwardly into the commode or receptacle.

A further object is to provide a cup shaped member adapted to fit on thebody engaging plate for constant wear for catching any excrements in theform of an afterflow.

With the above and other objects in view the invention resides in thecombination and arrangement of parts as herein-after set forth, shown inthe drawing, described and claimed, it being understood that changes inthe precise embodiment of the invention may be made within the scope ofwhat is claimed without departing from the spirit of the invention.

In the drawing:

Figure 1 is a perspective view of the appliance.

Figure 2 is a vertical transverse sectional view through the appliance.

Figure 3 is a view in elevation of the belt carried supporting plate.

Figure 4 is a rear elevation of the upper end of the body, showing theflanged flared portion.

Figure 5 is a view in elevation of a cup shaped afterflow plate, whichmay be used in connection with the belt after a flushing operation,instead of the supporting plate shown in Figure 1.

Figure 6 is a vertical transverse sectional view through an after flowmember, which may be used on the supporting plate shown in Figure 1,after the device has been used.

Referring to the drawing, the numeral I designates a belt adapted toencircle the body and which belt is preferably attached by means ofhooks 2 to the opposite ends of a body conforming supporting plate 3,which plate 3 is adapted to be placed over the colostomy opening 4 inthe abdomen of the wearer, with the opening 4 substantially centrally ofthe opening 5 of the plate 3. Surrounding the opening 5 arecircumferential ribs 6, which press into the flesh for forming a closevacuumtight fit for preventing leakage. The outer face of the supportingplate 3 is provided with a semicircular shaped channel 1 around thelower side of the opening 5, and is adapted to receive the lower portionof the annulaiflange 8 carried by the rearward flanged portion 9 of thetubular body IU of the device, and to compress the washer or gasket IIwhen the rotatable fastening member I2 is moved to a position shown inFigure 2, hence leakage at this point is prevented.

The body l0 has its upper portion Illa substantially vertical, and thisterminates in a downwardly and angularly disposed portion lob, which inturn terminates in a substantially vertical portion I00, clearly shownin Figure 1. In other words the axes of th portions Illa and I 00 aresubstantially parallel.-

The outer side of the tubular body It! is provided with a tubularextension l3 in axial alinement with the opening 4, and which extensionis provided with a removable ring 14, which ring compresses a gasket l5,and through which gasket a catheter or other instrument l6 may beinserted in a horizontal position and in alinement with abdomen opening4, and as the flushing opening necessarily has to be in full view of theoperator for guiding the catheter, at all times, and at the same timethe operator should have a view into the upper end of the body It] forinserting the end I! of the catheter into the opening 4, a

hinged closure I 8 is provided. It will be noted that the closure I8 ishinged at l9 to one side of the body, and when the closure is opened itwill not obscure the vision of the flushing opening at the forward sideof the. device. Closure I8 is provided with a transparent insert 20,through which the operator can observe the catheter and the cleansingoperation. Closure i8 is prov dedwith a spring catch 2].

The device is preferably formed from a plastic material, or Plexiglass,however applicant does not limit himself to the particular material, butit is a form of plastic which can be easily cleaned and sterilized.

In operation, the belt is placed around the waist with the plate 3properly positionedover the colostomy opening 4. These parts may be wornpermanently if desired; then the body I ii is placed in position on theplate 3, as shown in Figure 1; then the user seats himself on a commode;and then inserts catheter through the device into the colostomy,ripening i, as shown in Figure 2. When sufficient .fluidpasses throughto properly irrigate, the flow'otfiuid isshut off bytheusnal springclamp on the tube of the catheter, not; shown,;and theqcatheter removed,and the gasketvvalve i5 closes by contraction. Ample, time should begiven, toto'mplete the evacuation. After .the bowels are empty thecatheter or tube is insertedand thefiuid again turned onto wash outthetubular body l8 and various parts. and dislodge refuse that might.cling to theginterior. of the device. ,jFolloWing this, the body H3 isremoved from the support ing plate 3 and the afterfiow cup 22, which isprovided with an annular flange 23, is placed on the supporting plate 3,clearly shown in Fi ure 6. 1

Figure '5.shows amodified form of after-flow cup 23; having hooks, 24,and this cup may be attached tot hebelt ends 1 for catching the af-'tor-flow. The cups may be worn permanently if desired. v 4

Although the device has been described for use. by a patient seated, orstanding, it is to be understood that it may be advantageously used by abed patient; and can be hung over the edge of the bed for discharge intoa container. It is also. to be understood that the device maybe maderound, square or any other shape in hori zontal cross section. g

The invention having been set-forth What is claimed-as new anduseful is:

1. A colostomy appliance comprisinga tubular body,the upper end of saidb'ody'being open,

4 a hinged closure for said open end, a sight opening in said hingedclosure, said hinged closure being substantially horizontal when theappliance is attached to the body, a substantially horizontal catheterreceiving valve carried by the forward side of the body in horizontalrelation to a colostomy opening, a rearwardly extending hol- 9w ex en in arr ath m ntle. o t b axially "of .the catheter ,valve, 5,.-hoi'izontally elongated su portin plate surrounding the colostomy opening, abelt detachably connected to the ends of the plate and adapted toencircle the body of the, usensaid rearwardly extending portion carriedby the body being detachab'ly connected to the supporting plate, saidhinged closure being hinged to th'e body at substantially a right angleto the catheter opening, whereby the catheter can be observed during theinsertionoperation and the closure is open.

2. A device as set forth in claim 1 including an. annular flange.carried by thereanvardly extending member; carried.by the b'odmithelower portion .of the saidannular flange being. disposed in an arcuate.channel lcarriedby the plate and fastening meansconnecting the upperside of saidfiangetothe'plata ,5 3. A devic.el=as js'et forthinciaimglwherein the upper, and lower ehdepf; the; device are inparallel relation. and arejconnected together by an angular portion 4. Adevice .as Smart: anal. jean ing a forwardly extending liquid deflectingmemher in the-lower end'otthetbody.

5. A colostomy device comprisingjaibody engaging sup ortingplateeacbeltifo'r holding said plate in engagement with'the body.- a,co'lostomy appliance, said colostomy. appliance having an annular flangeadaptedto engage the. support-

